CAJ | 학술논문

目的：观察耳穴贴压治疗心肾不交型女性更年期综合征临床疗效。方法：将69例女性更年期综合征患者按照随机数字表法分为单纯汤药组35例和耳穴贴压组34例。单纯汤药组采用黄连阿胶汤治疗，耳穴贴压组在汤药组的基础上予耳穴贴压治疗，治疗12周，观察两组患者治疗前后中医症状评分、血清性激素水平（FSH、LH、E2）及中医症状改善临床疗效。结果：与治疗前相比，两组中医症状评分及性激素水平比较差异均有统计学意义（P<0.05）；且耳穴贴压组与单纯汤药组相比，在改善更年期主症、次症方面有明显优势，治疗后中医症状评分、性激素水平比较差异均有统计学意义（P<0.05）。两组中医证候疗效比较（秩和检验），其中有效、显效比较差异均有统计学意义（P<0.05），耳穴贴压组的中医证候改善总有效率94.12%略高于单纯汤药组的88.57%，但比较差异无统计学意义（P>0.05）。结论：耳穴贴压治疗能明显改善心肾不交型女性更年期综合征患者临床症状及调节体内性激素水平，且耳穴贴压法操作简单、安全易行，值得临床推广。
목적：관찰이혈첩압치료심신불교형녀성경년기종합정림상료효。방법：장69례녀성경년기종합정환자안조수궤수자표법분위단순탕약조35례화이혈첩압조34례。단순탕약조채용황련아효탕치료，이혈첩압조재탕약조적기출상여이혈첩압치료，치료12주，관찰량조환자치료전후중의증상평분、혈청성격소수평（FSH、LH、E2）급중의증상개선림상료효。결과：여치료전상비，량조중의증상평분급성격소수평비교차이균유통계학의의（P<0.05）；차이혈첩압조여단순탕약조상비，재개선경년기주증、차증방면유명현우세，치료후중의증상평분、성격소수평비교차이균유통계학의의（P<0.05）。량조중의증후료효비교（질화검험），기중유효、현효비교차이균유통계학의의（P<0.05），이혈첩압조적중의증후개선총유효솔94.12%략고우단순탕약조적88.57%，단비교차이무통계학의의（P>0.05）。결론：이혈첩압치료능명현개선심신불교형녀성경년기종합정환자림상증상급조절체내성격소수평，차이혈첩압법조작간단、안전역행，치득림상추엄。
Objective:To observe the clinical curative effect of ear acupoints application therapy on female climacteric syndrome with the type of incoordination between heart and kidney.Method:69 female climacteric syndrome patients were randomly divided into the pure medicine group for 35 cases and the ear acupoints application therapy group for 34 cases.The pure medicine group was given Huanglian Ejiao Decoction,the ear acupoints application therapy group was given ear acupoints application therapy on the basis of the control group.Treatment for 12 weeks,TCM symptom score and serum sex hormone levels(FSH,LH,E2) before and after treatment and clinical efficacy of traditional Chinese Medicine in TCM symptoms improvement between the two groups were observed.Result:TCM symptom scores and sex hormone levels of the two groups after treatment had significant differences(P<0.05),compared with the items before treatment.Compared with the pure medicine group,TCM symptom scores and sex hormone levels in ear acupoints application therapy group after treatment had significant differences(P<0.05).The ear acupoints application therapy group in improving the symptoms of menopause,secondary disease had obvious advantages.Two groups of TCM syndrome efficacy comparison(rank sum test),among them,effective and excellent,the differences were statistically significant (P<0.05).The total effective rate of TCM Syndrome improvement in the ear acupoints application therapy group was 94.12%, which was slightly higher than 88.57% in the pure medicine group,there was no statistically significant difference(P>0.05). Conclusion:The ear acupoint application therapy can significantly improve female climacteric syndrome with the type of incoordination between heart and kidney in patients with clinical symptoms and adjust the sex hormone levels in the body.What’s more the ear acupoints application therapy is simple,safe,feasible and worth promoting in clinic.